North Warwickshire Place-based Needs Assessments: Key Messages Paul Kingswell & Caroline McKenzie WCC Insight Service, June 2018 Population ● Place-based needs assessments ■ providing an in-depth understanding of the specific local needs in North Warwickshire – WORK IS ONGOING! ■ approach was piloted in Atherstone Population pyramids Source: ONS 2016 mid-year population estimates Deprivation (IMD) Source: English Indices of Deprivation 2015 Health Issues General Health The 2011 Census suggested the proportion of the population in Good or Very Good Health: • Coleshill, Arley and Kingsbury 81.8% • Atherstone, Hartshill and Polesworth 78.2% • This is below the Warwickshire average (82.2%). North Warwickshire health priorities include: • Tackling lifestyle behaviours • Mental health and wellbeing • Sexual health • Smoking in pregnancy Source: Public Health England Teenage conceptions • Teenage conception data suggests rates across North Warwickshire are reducing but have generally been higher than the county average. • In 2016, there were 16 teenage conceptions in North Warwickshire down from 48 in 1998. Source: ONS A&E attendances (0-4 year olds) • Crude rates of A&E attendances (per 1,000 population aged 0-4) suggest rates in Polesworth (623.8) and Atherstone & Hartshill (594.2) are higher than the county rate (542.8). • Rates in Coleshill & Arley and Kingsbury are just below the county rate. Source: Copyright © 2018, re-used with the permission of NHS Digital. All rights reserved. Childhood obesity • Obesity is associated with a range of adverse health outcomes including diabetes, hypertension and cancers. • Children North Warwickshire are more likely to be obese when compared with Warwickshire as a whole Self-harm Across North Warwickshire, crude rates of hospital admissions for self- harm amongst those aged 10-24 are lower than the county rate. Source: Hospital Episode Statistics (HES) Copyright © 2018, Re-used with the permission of NHS Digital. Admissions due to injuries from falls • Crude rates of hospital admissions (per 1,000 population aged 55+) due to injuries from falls suggest rates in Coleshill & Arley and Atherstone & Hartshill are higher than the county rate. • Rates in Kingsbury and Polesworth are lower. Source: Copyright © 2018, re-used with the permission of NHS Digital. All rights reserved. Smoking • Estimated smoking prevalence by GP practice, 2016/17 (RAG rated) Source: QOF, accessed through fingertips, Public Health England Alcohol or drug treatment Individuals referred for alcohol or drug treatment in North Warwickshire (2016/17) 92 patient referrals in North Warwickshire 1,115 patient referrals across Warwickshire • Alcohol (37 patients, 40.2%) • Alcohol (492 patients, 44.1%) • Opiates (33 patients 35.9%) • Opiates (256 patients, 23.0%) Source: Addaction Loneliness Estimates of the number of lonely people in Warwickshire Almost 1 in 3 (31%) of the population aged 65 and over are estimated to be lonely ‘some of the time’ and 7% ‘all of the time or often’. Source: The prevalence of and risk factors for, loneliness in later life: a survey of older people in Great Britain (2005) Dementia • People with dementia occupy at least a quarter of hospital beds, 70% of care home places and 60% of homecare recipients (Alzeimers Society) • Across North Warwickshire only 55.4% of those estimated to have dementia have been diagnosed. This is the lowest of all districts and boroughs in Warwickshire • Atherstone Surgery has the highest recorded dementia diagnosis of GP practices across North Warwickshire, 4.2% of those aged 65+. Across all North Warwickshire GP practices this figure is 3.3% • There are dementia cafes in Atherstone and Arley Source: Fingertips, Public Health England Carers Caring is a vital role which can have significant long – term effects on the carer. • The 2011 Census showed that 7,519 (12.1% of the North Warwickshire population were providing unpaid care - above the county level (10.9%). • Nearly a quarter (23.9%) provided more than 50 hours per week (Warwickshire 21.0%). Source: 2011 Census All age all cause mortality • Directly age standardised (DSR) rates are used to identify and compare geographic variations in mortalities. • Mortality rates in the Atherstone & Hartshill and Polesworth area (1,091/100,000 population) are significantly higher than the Warwickshire rate (908). Source: Copyright © 2017, re-used with the permission of The Health & Social Care Information Centre. Wider Determinants Social Care There are 339 Priority Families 43.2 children per 10000 are in across the Borough, 5.4 per looked after care, slightly lower 1000 population, this is higher than the county average (55.7) than the county average of 4.5. Atherstone and Hartshill JSNA has the highest rate (6.0). Of these families, 158 have been turned around In Atherstone and Hartshill, 1.7% of adult social care 10.6% of adult social care service users across North service users are receiving a Warwickshire are receiving a physical disability and sensory mental health support services support package, this is package (around half the higher than the county average county average of 3.3%) of 7.7% (8% across North Warwickshire) Education Free School meals (Nursery to Y13) 2017 • North Warwickshire average is 9.0% • Atherstone and Hartshill has almost twice the percentage of pupils claiming a free school meal as Kingsbury Absence (% missing 10% and more) 2016/17 • The North Warwickshire average is 9.8% • percentage of children missing 10% or more of school has decreased across all areas from 2015/16 to 2016/17 Icons made by Freepikfrom www.flaticon.com Education (Early years) ● Teacher assessment of children’s development at the end of Reception (aged 4 or 5) • 71.6% of Reception age children in North Warwickshire achieved a good level of development in 2017, slightly lower than the Warwickshire average of 72.3% • There is a gap of 18.4% between those receiving a free school meal and those who don’t Icons made by Freepik from www.flaticon.com Education (Key stage 2) ● Tests for Reading, Writing and Maths at the end of Year 6 (aged 10 or 11) • 55.8% of Year 6 children in North Warwickshire achieved the expected standard across all three subjects in 2017, lower than the Warwickshire average of 62.0% • There is a gap of 27.5% between those who are disadvantaged and those who aren’t (largest in Atherstone and Hartshill 34.7%) Icons made by Freepik from www.flaticon.com Education (Key Stage 4) • New Key Stage 4 measures English and Maths strong pass (9 to 5) • 34.7% of students in North Warwickshire achieved the expected standard across both subjects in 2017, lower than the Warwickshire average of 47.2% • There is a gap of 18% between those who are disadvantaged and those who aren’t (lower than Warwickshire average of 30%) Icons made by Freepik from www.flaticon.com Education, Skills and Training Deprivation • Each JSNA area within North Warwickshire ranks more poorly on average on the education, skills and training domain compared to the overall deprivation rankings (IMD) • Each JSNA area contains at least one LSOA which is in the 20% worst nationally on the education, skills and training rank. • There are three LSOAs in the Atherstone and Hartshill JSNA area and one in Polesworth that are in the 10% worst nationally: • Mancetter South and Ridge Lane • Atherstone Central – Centre • Atherstone North - St. Georges and Carlyon • Dordon Village Icons made by Freepik from www.flaticon.com Employment & Unemployment • The average gross annual resident earnings for full-time workers for North Warwickshire Borough was £29,462 in 2017, a rise from £26,133 in 2013 (+12.7%). • This is slightly lower than the county average of £30,419. • The number of people on Universal Credit has increased over the last 3 years (2016-2018). Top Industry for each area Coleshill and Arley Kingsbury Manufacturing Transport and Storage 16.8% 23.7% Atherstone and Hartshill Polesworth Transport and Storage Retail 31.0% 31.2% Icons made by Freepik from www.flaticon.com Crime & Community Safety Crime rate has increased in all JSNA areas Anti-Social Behaviour has decreased in and across North Warwickshire by just all JSNA areas, particularly Polesworth under 10% (-35% from 2016 to 2017) Crime has increased across Warwickshire North Warwickshire has seen a bigger by 17.5% decrease in ASB (14.4%) than the county average (2.1%) Overall there have been reductions in Road Traffic Collisions in North Warwickshire Borough (-8.8%) which is in line with the county (-9.2%) Household Composition Total 1 person 1 family Other households households households households 1,907 4,177 302 Atherstone & Hartshill 6,386 (29.9%) (65.4%) (4.7%) 1,825 4,288 342 Coleshill & Arley 6,455 (28.3%) (66.4%) (5.3%) 1,404 4,125 319 Kingsbury 5,848 (24.0%) (70.5%) (5.5%) 1,640 5,119 364 Polesworth 7,123 (23.0%) (71.9%) (5.1%) 6,776 17,709 1,327 North Warwickshire 25,812 (26.3%) (68.6%) (5.1%) 67,054 149,824 14,127 Warwickshire 231,005 (29.0%) (64.9%) (6.1%) Housing Tenure • Home ownership is highest in Kingsbury (78.2%) • Social renting is highest in Atherstone and Hartshill (21.1%) Owned Social rented Private rented Polesworth 74.5% 13.4% 10.5% Atherstone and Hartshill 65.0% 21.1% 11.9% Kingsbury 78.2% 11.0% 8.9% Coleshill and Arley 72.1% 11.9% 13.7% North Warwickshire 72.4% 14.4% 11.3% Warwickshire 70.0% 13.8% 14.1% 28 Fuel poverty • A household is considered to be fuel poor if: • they have required fuel costs that are above average (the national median level) • were they to spend that amount, they would be left with a residual income below the official poverty line.